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4103 Mercantile Drive Lake Oswego, OR 97035PATIENT INFORMED CONSENT FORM AND ARBITRATION AGREEMENT I hereby request and consent to the performance of chiropractic adjustments and other chiropractic procedures,
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How to fill out informed consent form

01
Read the informed consent form carefully to understand its purpose and the procedures or treatments involved.
02
Provide all necessary personal information such as your name, date of birth, contact details, and any relevant medical history.
03
Ask any questions you may have about the form or the procedure to ensure you have a complete understanding.
04
Sign and date the form to indicate your consent.
05
If applicable, provide the name and contact information of a designated individual who can make decisions on your behalf.
06
Keep a copy of the signed form for your records.
07
Follow any additional steps or instructions provided by the healthcare professional or research organization.

Who needs informed consent form?

01
Informed consent forms are required by individuals who participate in medical research studies, clinical trials, or any experimental treatments.
02
Patients undergoing surgical procedures or medical treatments may also be asked to provide informed consent.
03
Parents or legal guardians are required to give informed consent on behalf of minors or individuals who cannot make decisions for themselves.
04
Informed consent is crucial to ensure that individuals fully understand the risks, benefits, and alternatives before making an informed decision to participate in any medical or research activities.
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An informed consent form is a document that provides potential participants with information about a study, including its purpose, procedures, risks, benefits, and their rights, allowing them to make an autonomous decision about participation.
Researchers conducting studies that involve human subjects are required to obtain and file informed consent forms from participants.
To fill out an informed consent form, participants should read the document carefully, ensure they understand the information provided, ask questions if needed, and sign the form to indicate their consent.
The purpose of an informed consent form is to ensure that participants are fully aware of what they are agreeing to and that they willingly participate in the research without coercion.
The informed consent form must include details such as the purpose of the study, description of procedures, potential risks and benefits, confidentiality assurances, and the right to withdraw.
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